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Eric L. Zager - One of the best experts on this subject based on the ideXlab platform.
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Cervical spine meningioma presenting as Otalgia : Case report. Commentary
Neurosurgery, 2020Co-Authors: Shabbar F. Danish, Eric L. Zager, Paul C. MccormickAbstract:OBJECTIVE AND IMPORTANCE: Cervical spine meningiomas have not been reported to present as Otalgia. It is important to include Otalgia in the differential diagnosis and workup, especially when more common causes of ear pain have been excluded. CLINICAL PRESENTATION: A 66-year-old woman presented to her primary care physician with severe ear pain. She underwent routine diagnostic testing and eventually was referred to a neurologist. After conservative management failed, the patient underwent cervical spine magnetic resonance imaging, which revealed a large meningioma encompassing C2-C3. INTERVENTION: The patient underwent a cervical laminectomy with complete resection of the tumor. She experienced immediate postoperative resolution of her symptoms. CONCLUSION: : This case illustrates the importance of aggressive evaluation of Otalgia when routine diagnostic studies are inconclusive. Cervical meningiomas are associated with significant potential morbidity and should be excluded early in the diagnostic process.
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Cervical Spine Meningioma Presenting as Otalgia: Case Report
Neurosurgery, 2005Co-Authors: Shabbar F. Danish, Eric L. ZagerAbstract:Cervical spine meningiomas have not been reported to present as Otalgia. It is important to include Otalgia in the differential diagnosis and workup, especially when more common causes of ear pain have been excluded. A 66-year-old woman presented to her primary care physician with severe ear pain. She underwent routine diagnostic testing and eventually was referred to a neurologist. After conservative management failed, the patient underwent cervical spine magnetic resonance imaging, which revealed a large meningioma encompassing C2-C3. The patient underwent a cervical laminectomy with complete resection of the tumor. She experienced immediate postoperative resolution of her symptoms. This case illustrates the importance of aggressive evaluation of Otalgia when routine diagnostic studies are inconclusive. Cervical meningiomas are associated with significant potential morbidity and should be excluded early in the diagnostic process.
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Cervical spine meningioma presenting as Otalgia: case report.
Neurosurgery, 2005Co-Authors: Shabbar F. Danish, Eric L. ZagerAbstract:OBJECTIVE AND IMPORTANCE Cervical spine meningiomas have not been reported to present as Otalgia. It is important to include Otalgia in the differential diagnosis and workup, especially when more common causes of ear pain have been excluded. CLINICAL PRESENTATION A 66-year-old woman presented to her primary care physician with severe ear pain. She underwent routine diagnostic testing and eventually was referred to a neurologist. After conservative management failed, the patient underwent cervical spine magnetic resonance imaging, which revealed a large meningioma encompassing C2-C3. INTERVENTION The patient underwent a cervical laminectomy with complete resection of the tumor. She experienced immediate postoperative resolution of her symptoms. CONCLUSION This case illustrates the importance of aggressive evaluation of Otalgia when routine diagnostic studies are inconclusive. Cervical meningiomas are associated with significant potential morbidity and should be excluded early in the diagnostic process.
M. J. Coleman - One of the best experts on this subject based on the ideXlab platform.
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‘Costen's syndrome’—correlation or coincidence: a review of 45 patients with temporomandibular joint dysfunction, Otalgia and other aural symptoms
Clinical Otolaryngology, 2009Co-Authors: G. B. Brookes, M. J. ColemanAbstract:Costen's syndrome—correlation or coincidence. A review of 45 patients with temporomandibular joint dysfunction, Otalgia and other aural symptoms Forty-five patients with temporomandibular joint dysfunction, and Otalgia together with other aural symptoms (deafness, tinnitus, pressure/blockage and vertigo) were evaluated clinically and audiometrically. The theoretical mechanisms by which aural symptoms may be produced as a result of temporomandibular joint dysfunction are outlined and discussed in the light of the patients under review. The wide diversity in the incidence of additional aural symptoms apart from Otalgia reported in the literature is noted, together with the general lack of full objective audiometric assessment. In 37 patients the aural symptoms were directly attributable to other coincidental otolaryngologies] pathology. Details of the remaining 8 cases are presented. The other aural symptoms of 4 of these patients were also probably accounted for by other coincidental otolaryngologic!] pathology. It may be significant that 2 of the other patients were suffering from concurrent psychiatric disorders. Thus in this series at least 91% of the patients were considered to have other aural symptoms coincidental to temporomandibular joint dysfunction. This is compatible with the relatively common occurrence of both temporomandibular joint dysfunction and aural symptoms in the general population. This study leads us to believe that there is no direct aetiological basis to link temporomandibular joint dysfunction and other aural symptems apart from Otalgia.
Shabbar F. Danish - One of the best experts on this subject based on the ideXlab platform.
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Cervical spine meningioma presenting as Otalgia : Case report. Commentary
Neurosurgery, 2020Co-Authors: Shabbar F. Danish, Eric L. Zager, Paul C. MccormickAbstract:OBJECTIVE AND IMPORTANCE: Cervical spine meningiomas have not been reported to present as Otalgia. It is important to include Otalgia in the differential diagnosis and workup, especially when more common causes of ear pain have been excluded. CLINICAL PRESENTATION: A 66-year-old woman presented to her primary care physician with severe ear pain. She underwent routine diagnostic testing and eventually was referred to a neurologist. After conservative management failed, the patient underwent cervical spine magnetic resonance imaging, which revealed a large meningioma encompassing C2-C3. INTERVENTION: The patient underwent a cervical laminectomy with complete resection of the tumor. She experienced immediate postoperative resolution of her symptoms. CONCLUSION: : This case illustrates the importance of aggressive evaluation of Otalgia when routine diagnostic studies are inconclusive. Cervical meningiomas are associated with significant potential morbidity and should be excluded early in the diagnostic process.
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Cervical Spine Meningioma Presenting as Otalgia: Case Report
Neurosurgery, 2005Co-Authors: Shabbar F. Danish, Eric L. ZagerAbstract:Cervical spine meningiomas have not been reported to present as Otalgia. It is important to include Otalgia in the differential diagnosis and workup, especially when more common causes of ear pain have been excluded. A 66-year-old woman presented to her primary care physician with severe ear pain. She underwent routine diagnostic testing and eventually was referred to a neurologist. After conservative management failed, the patient underwent cervical spine magnetic resonance imaging, which revealed a large meningioma encompassing C2-C3. The patient underwent a cervical laminectomy with complete resection of the tumor. She experienced immediate postoperative resolution of her symptoms. This case illustrates the importance of aggressive evaluation of Otalgia when routine diagnostic studies are inconclusive. Cervical meningiomas are associated with significant potential morbidity and should be excluded early in the diagnostic process.
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Cervical spine meningioma presenting as Otalgia: case report.
Neurosurgery, 2005Co-Authors: Shabbar F. Danish, Eric L. ZagerAbstract:OBJECTIVE AND IMPORTANCE Cervical spine meningiomas have not been reported to present as Otalgia. It is important to include Otalgia in the differential diagnosis and workup, especially when more common causes of ear pain have been excluded. CLINICAL PRESENTATION A 66-year-old woman presented to her primary care physician with severe ear pain. She underwent routine diagnostic testing and eventually was referred to a neurologist. After conservative management failed, the patient underwent cervical spine magnetic resonance imaging, which revealed a large meningioma encompassing C2-C3. INTERVENTION The patient underwent a cervical laminectomy with complete resection of the tumor. She experienced immediate postoperative resolution of her symptoms. CONCLUSION This case illustrates the importance of aggressive evaluation of Otalgia when routine diagnostic studies are inconclusive. Cervical meningiomas are associated with significant potential morbidity and should be excluded early in the diagnostic process.
G. B. Brookes - One of the best experts on this subject based on the ideXlab platform.
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‘Costen's syndrome’—correlation or coincidence: a review of 45 patients with temporomandibular joint dysfunction, Otalgia and other aural symptoms
Clinical Otolaryngology, 2009Co-Authors: G. B. Brookes, M. J. ColemanAbstract:Costen's syndrome—correlation or coincidence. A review of 45 patients with temporomandibular joint dysfunction, Otalgia and other aural symptoms Forty-five patients with temporomandibular joint dysfunction, and Otalgia together with other aural symptoms (deafness, tinnitus, pressure/blockage and vertigo) were evaluated clinically and audiometrically. The theoretical mechanisms by which aural symptoms may be produced as a result of temporomandibular joint dysfunction are outlined and discussed in the light of the patients under review. The wide diversity in the incidence of additional aural symptoms apart from Otalgia reported in the literature is noted, together with the general lack of full objective audiometric assessment. In 37 patients the aural symptoms were directly attributable to other coincidental otolaryngologies] pathology. Details of the remaining 8 cases are presented. The other aural symptoms of 4 of these patients were also probably accounted for by other coincidental otolaryngologic!] pathology. It may be significant that 2 of the other patients were suffering from concurrent psychiatric disorders. Thus in this series at least 91% of the patients were considered to have other aural symptoms coincidental to temporomandibular joint dysfunction. This is compatible with the relatively common occurrence of both temporomandibular joint dysfunction and aural symptoms in the general population. This study leads us to believe that there is no direct aetiological basis to link temporomandibular joint dysfunction and other aural symptems apart from Otalgia.
Bance M - One of the best experts on this subject based on the ideXlab platform.
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An Otalgia pain syndrome, the anterolateral tip of the mastoid syndrome (ATOMS): diagnosis and response to treatment.
Journal of Otolaryngology-head & Neck Surgery, 2011Co-Authors: Hagr A, Bance MAbstract:Otalgia is a common presenting disorder. We describe a pain entity characterized by localized pain at the anterolateral tip of the mastoid (ATOM), which can be diagnosed by location and response to lidocaine (Xylocaine) injection. Long-term therapeutic results are described following a single injection of lidocaine. We compared 11 patients with this pain location to 24 patients with nonspecific Otalgia. In a tertiary otology centre, patients with severe ATOM-related pain were treated using 3 cc of 1% lidocaine injection; pain scores were measured before and afterward with a questionnaire, which also probed the effects on general lifestyle or possible causative factors. A consecutive group of 64 patients referred to the clinic, who also filled out the questionnaire, were used as a reference group. The average severity of the pain was 7.6 of 10 prior to injection, and at 1 hour, this fell to 1.5, at 1 day to 2, at 1 week to 0.6, and to 1.9 at the 10-month follow-up. The duration of the pain, if intermittent, also fell significantly. Of the 11 patients, 9 had previous ear surgery. There was a higher incidence of females, tooth grinding, and ear surgery in the ATOM group than in the non-ATOM Otalgia group. ATOM pain is another cause of Otalgia symptoms that should be recognized and often responds to local anesthetic injection.
